MS. KELLI JO BIRDSALL (NPI# 1811271331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811271331 |
| Entity Type | Individual |
| Full Name | MS. KELLI JO BIRDSALL |
| Credential | M.S., CCC-SLP |
| Practice Address |
4840 Homestead St Rapid City SD 57703-0194 |
| Mailing Address |
3676 E Highway 44 Rapid City SD 57703-6056 |
| Practice Telephone | 6059394759 |
| Mailing Telephone | 6059394759 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 049-SLP | SD | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 730 E Watertown St, Rapid City, SD 577011300 | 6053946089 |
| Street Address |
4840 HOMESTEAD ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57703-0194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658762 | Lyndsay Farnsworth | Registered Nurse | 4840 Homestead St, Rapid City, SD 57703-0194 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197533 | Richard Brady Perdue | Dentist | 2606 Elderberry Blvd, Rapid City, SD 57703 | 2019-07-26 |
| 1700125259 | Rapid City Regional Hospital, Inc. | Pharmacy | 1906 Lombardy Drive, Suite 102, Rapid City, SD 57703 | 2013-02-04 |
| 1689912875 | Rocky Mountain Holdings LLC | Ambulance | 4025 Lacroix Ct, Rapid City, SD 57703 | 2013-01-22 |
| 1083900310 | Olivia Bingaman | Nurse Practitioner | 1760 Centre St Ste B, Rapid City, SD 57703 | 2011-06-24 |
| 1770878944 | Tom Dale Iverson | Pharmacist | 1415 Eglin St., Rapid City, SD 57703 | 2011-06-15 |
| 1770944498 | Richard Scott Wiley | Counselor | 4951 Hansen Ln, Rapid City, SD 57703-0147 | 2016-03-08 |
| 1790953198 | Michele Ann Solano | Occupational Therapist | 1221 Aurora Dr, Rapid City, SD 57703-0198 | 2008-02-19 |
| 1902204894 | Delain Kay Johnson | Counselor | 1501 Centre St, Suite 106, Rapid City, SD 57703-3002 | 2014-12-09 |
| 1609238203 | Christopher Harley Hastings | Counselor | 1501 Centre St, Rapid City, SD 57703-3002 | 2016-03-23 |
| 1013381987 | Debra Hughes | Community/Behavioral Health | 1501 Centre St, Suite 101, Rapid City, SD 57703-3002 | 2015-11-16 |
| Find all providers in zip 57703 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093363293 | Kendra Nicole Patton | Speech-Language Pathologist | 625 9th St, Rapid City, SD 57701-2686 | 2019-08-30 |
| 1972075075 | Lauren Elizabeth Oertner | Speech-Language Pathologist | 127 Lambeau Ct, Rapid City, SD 57701-4305 | 2018-12-30 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1942703012 | Vicki Leann Stephens | Speech-Language Pathologist | 207 Flormann St, Rapid City, SD 57701-5542 | 2018-03-14 |
| 1588167282 | Susan Monica Rathbun | Speech-Language Pathologist | 1501 N Maple Ave, Rapid City, SD 57701-0657 | 2018-03-09 |
| 1134621808 | Jamalee Traupel-hofer | Speech-Language Pathologist | 827 Franklin St, Rapid City, SD 57701-4520 | 2018-03-08 |
| 1275035040 | Nicole Lynn Reitz | Speech-Language Pathologist | 1701 Downing St, Rapid City, SD 57701-0701 | 2018-03-07 |
| 1285136101 | Sara Kay Bouzek | Speech-Language Pathologist | 2601 Covington St, Rapid City, SD 57703-6355 | 2018-03-07 |
| 1730681545 | Lisa Sabers | Speech-Language Pathologist | 4901 W Chicago St, Rapid City, SD 57702-1943 | 2018-03-07 |
| 1205337839 | Lacy Kading | Speech-Language Pathologist | 1500 Evergreen Dr, Rapid City, SD 57702-3491 | 2018-02-28 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57703 |
Please comment or provide details below to improve the information on MS. KELLI JO BIRDSALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.